A Novel Prognostic Marker in Patients Undergoing Spinal Surgery: Prognostic Nutritional Index

Acarbaş, Arsal

doi:10.1055/s-0039-1693031

Cited by 24 publications

(22 citation statements)

References 31 publications

(43 reference statements)

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“…Of those, 17 of patients were female, and 19 were male (p>0,05). As stated in the literature, the expected mortality ranges from 1,11 to 8,78 (17). In Turkey, a recent study performed by Polat et al, the 30-day mortality rate was 2.7% (n=17) 25 .…”

Section: Discussionmentioning

confidence: 91%

“…Although the controversy over the insufficiency or superiority of off/on-pump CABG continues, it accounts for 15-30% of all CABG cases that vary in different national authorities. In Turkey, private hospital surgeons perform new surgical techniques in major experience and publish articles with great outcomes 17 . In our study, we reported one of the critical parts of the CABG surgery in the south region of Turkey, as covering with a primary capacity private-run cardiovascular surgery hospital.…”

Section: Discussionmentioning

confidence: 99%

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The effect of the number of vessel grafts used in coronary artery bypass grafting surgery to short-term mortality

Ulular

2020

Cukurova Medical Journal

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ÖzPurpose: The study aimed to share the short-term mortality rates of coronary artery bypass grafting (CABG) experience in a private hospital and to evaluate parameters affecting the clinical outputs following the CABG who were divided according to the number of vessel graft. Materials and Methods:The study is a longitudinal-term observational clinical study, with a patient follow-up period of 7 years in Turkey. We analyzed 3027 cases with outcomes and short-term mortality according to the number of vessel grafts that we used as 1 (n:608), 2-3 (n:1359), and four or more (n:1060) grafts. Results: The short-term mortality was found as 1.1% (36/3027) in all the patients. The male population was the highest in the group with the highest number of vascular grafts and its percentage to females was correlated with vessel grafts that we performed. Mean aortic cross-clamp time was 36.6±17.2 minutes, while bypass time was 66.4±21 minutes. The mean number of vessels revascularized was 3.17±0.9 (1-7). The amount of drainage was 419±286 ml. The period of intensive care was 1.2±1.1 days, while the hospital period was 5.2±1.5days. In comparison according to the number of vascular grafts, positive inotrope agent, drainage, blood supply, crossclamp and pump period showed significant difference. Conclusion:The number of vessel grafts was related to clinical outputs of CABG operations and Our CABG in the private hospital reached the short-term mortality rates that were below the averages of Turkey and international operations. Amaç: Çalışmada, özel bir hastanede koroner arter baypas greftleme (KABG) deneyiminin kısa dönem mortalite oranlarının paylaşılması ve damar grefti sayısına göre bölünen KABG sonrası klinik sonuçlarını etkileyen parametreleri değerlendirmeyi amaçladık. Gereç ve Yöntem: Çalışma, Türkiye'de 7 yıllık hasta takip süresi olan, uzun süreli gözlemsel bir klinik çalışmadır. 1 (n:608), 2-3 (n:1359) ve dört veya daha fazla (n:1060) greft olarak kullandığımız damar greftlerinin sayısına göre sonuçları ve kısa vadeli mortalitesi olan 3027 vakayı analiz ettik. Bulgular: Kısa dönem mortalite tüm hastalarda 1,1% (36/3027) olarak bulundu. Erkek popülasyonu en fazla damar grefti olan grupta en yüksek idi ve kadınlara oranı yaptığımız damar greftleriyle korele idi. Ortalama aortik kros klemp süresi 36.6±17.2 dakika, baypas süresi 66.4±21 dakika idi. Revaskülarize edilen damar sayısı ortalama 3,17±0,9 (1-7) idi. Drenaj miktarı 419±286 ml idi. Yoğun bakım süresi 1,2±1,1 gün, hastanede kalma süresi 5,2±1,5 gün idi. Vasküler greft sayısına göre karşılaştırıldığında pozitif inotrop ajan, drenaj, kan temini, kros klemp ve pompa periyodu anlamlı farklılık gösterdi. Sonuç: Damar grefti sayısı KABG ameliyatlarının klinik sonuçları ile pozitif ilişkiliydi. KABG sonuçlarımız başarılı olarak Türkiye ve uluslararası ameliyat ortalamalarının altında kısa dönem mortalite oranlarına ulaştı.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

The effect of the number of vessel grafts used in coronary artery bypass grafting surgery to short-term mortality

Ulular

2020

Cukurova Medical Journal

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“…Immune-nutritional status are di cult to show from physical examination and imaging examinations, but biochemical indicators in blood tests may change in the acute phase of tSCI. PNI and COUNT scores are Immune-nutritional screening tools composed of different immune and nutritional biochemical indicators which have been widely used to predict the prognosis of patients with severe traumatic brain injury, cancer or spinal surgery 4,5,17 .PNI is calculated from albumin, lymphocytes, while COUNT score is calculated from albumin, lymphocytes, total cholesterol. Albumin is often considered a nutritional marker, but it may also exert neuroprotective effects by reducing cerebral edema and improving the metabolic activity of neurons 18 .…”

Section: Discussionmentioning

confidence: 99%

Influence of prognostic nutritional index and controlling nutritional status on the prognosis of patients with acute traumatic spinal cord injury

Wang

Lin

Zhong

et al. 2022

Preprint

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Objectives: The aim of this study was to define the risk factors affecting the prognosis of patients with acute traumatic spinal cord injury (tSCI), and to discuss the value of prognostic nutritional index (PNI) and controlling nutritional status (COUNT) score in predicting the prognosis of patients with acute tSCI.Methods: We retrospectively analyzed the clinical data of 75 patients with acute tSCI. The optimal cutoff value was obtained through the receiver operating characteristic curve (ROC), and the value of PNI and COUNT score were 45.05 and 3.5 respectively. Patients were divided into high PNI groups and low PNI groups, high COUNT groups and low COUNT groups respectively based on cutoff values. The differences of outcome indexes such as American spinal injury association impairment scale (AIS), exercise score, Bathel index score and light touch score were analyzed, and the prognostic factors of tSCI patients were analyzed. A improved outcome was defined as improvement of AIS grade ≥ 1.Results: Compared with the improvement group, the non-improvement group had lower serum albumin and PNI, higher COUNT score, longer hospital stay and higher postoperative infection rate (P < 0.05). PNI and COUNT score were closely related to the AIS grade (r = 0.629, P < 0.001; r = -0.855, P < 0.001). After adjusting for confounding factors, the odds ratios of PNI and COUNT score for predicting improved outcomes in patients with acute tSCI were 1.396 (95%CI: 1.141-1.709） and 0.284 (95%CI: 0.136-0.0.594）, respectively. The area under the curve (AUC) of PNI and count scores for predicting improved outcomes were 0.752 (95% CI: 0.641 ~ 0.862, P < 0.001) and 0.766 (95% CI: 0.654 ~ 0.879, P < 0.001), respectively. Conclusion: PNI and count scores may be independent predictors of improved outcomes in patients with acute tSCI.

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“…This level-II, prospective, comparative study included civilians injured in the Syrian Civil War 2015 and 2017. All patients acknowledged and signed the informed patient consent form for the study after the completion of demographic data collection [17]. We obtained study approval from the institute where the study was conducted (Number: 2018–255-0002).…”

Section: Methodsmentioning

confidence: 99%

Surgical restoration of drop-hand syndrome with tendon transfer in patients injured in the Syrian civil war

Uçak

2019

Military Med Res

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BackgroundThe radial nerve is one of the most common war-related injury sites due to penetrating cutting tool injuries or gunshot wounds, resulting in drop-hand syndrome. The aim of this study was to evaluate the outcomes of tendon transfer in patients with drop-hand syndrome who had been injured in the Syrian Civil War.MethodsThis level-II, prospective, comparative study included 13 civilians injured in the Syrian Civil War 2015 and 2017. The palmaris longus tendon was used for transfer to the extensor pollicis longus for thumb extension. The pronator teres was transferred to the extensor carpi radialis brevis for wrist extension. The flexor carpi radialis was transferred to the extensor digiti communis for 2nd, 3rd, 4th, and 5th finger extension. All outcomes of thumb abduction and extension, wrist extension, wrist flexion, and finger extension were assessed.ResultsThere was a high level of radial nerve injury in all patients included in the study. The time from injury to treatment ranged from 1.5 months to 9 months. The mechanism of injury most commonly observed was a gunshot wound, which was observed in 8 patients (61.5%), followed by a penetrating cutting tool injury (n = 3; 23.1%) and humerus fracture (n = 2; 15.4%).ConclusionsIn radial nerve injuries, successful results can be achieved with tendon transfer. All patients regained thumb abduction of up to approximately 60°. All the patients were able to bend the wrist, grip, and extend the fingers while in wrist flexion, neutral wrist and wrist extension positions. Although the reason for the radial injury varied, the postoperative outcomes were good for all patients, and the rehabilitation period progressed successfully in patients who underwent tendon transfer repair within 90 days of injury.

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A Novel Prognostic Marker in Patients Undergoing Spinal Surgery: Prognostic Nutritional Index

Cited by 24 publications

References 31 publications

The effect of the number of vessel grafts used in coronary artery bypass grafting surgery to short-term mortality

The effect of the number of vessel grafts used in coronary artery bypass grafting surgery to short-term mortality

Influence of prognostic nutritional index and controlling nutritional status on the prognosis of patients with acute traumatic spinal cord injury

Surgical restoration of drop-hand syndrome with tendon transfer in patients injured in the Syrian civil war

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